摘要
目的 探讨脑梗塞患者与颈动脉粥样硬化斑块性质及血脂的关系。方法 84例急性颈内动脉系统脑梗塞患者 (A组 ) ,81例同期非脑血管病人 (B组 ) ,均经头颅CT或MRI检测 ,年龄均在 45～ 6 4岁。采用双功能彩色多普勒超声检测颈动脉内 -中膜厚度 (IMT)和斑块的形态、数量、回声特征。血脂检测。结果 A组患者颈动脉不均质、不规则斑块的检出率明显高于B组 ,且血脂中LDL增高和HDL低下的检出率高于B组。结论 颈动脉粥样硬化斑块的性质和血脂中高LDL及低HDL与脑梗塞的发生密切相关。
Purpose To evaluate the relation between cerebrovascular infarction with carotid artery atherosclerosis and blood lipid. Methods 84 patients with acute ischemis stroke of internal artery system were consecutive investigated (group A) and compared with 81 volunteers who never happened cerebral vascular disease as control subjects (group B),aged from 45-64 years. Patients and volunteers were examined with CT or MRI for brain,color dopplor ultrasound for IMT and plaque of carotid artery,and determined of blood lipid. Results the patients with acute ischemic stroke were not only IMT but also the number of plaques more than control subjects,so were ulcerative and heterogeneous plaques. The patients with high levels of LDL and low levels of HDL were higher than control subjects. Conclusion Our study have demonstrated that the characterization of carotid plaques,high levels LDL and low levels HDL correlate strongly with ischemic stroke. [
出处
《中国医学影像技术》
CSCD
北大核心
2000年第9期747-748,共2页
Chinese Journal of Medical Imaging Technology
